Which of the following clinical manifestations should the nurse expect to find during
assessment of a client admitted with pneumococcal pneumonia?
Hyper-resonance on percussion
Vesicular breath sounds in all lobes
Increased tactile fremitus on palpation
Fine crackles in all lobes on auscultation Increased tactile fremitus on palpation
Which of the following is the priority nursing intervention in helping a client expectorate thick
lung secretions?
Humidify the oxygen as able
Administer cough suppressant q4hr
Teach client to splint the affected area
Increase fluid intake to 3 L/day if tolerated Increase fluid intake to 3 L/day if tolerated
The nurse is providing discharge teaching to an older-adult client with COPD and pneumonia.
Which of the following vaccines should the nurse recommend that this client receive?
Staphylococcus aureus
Haemophilus influenzae
Pneumococcal
Bacille Calmette-Guérin (BCG) Pneumococcal
, The nurse is providing discharge teaching to a client that was hospitalized with pneumonia.
Which of the following client statements about measures to prevent a relapse indicates that
the teaching has been effective?
"I will seek immediate medical treatment for any upper respiratory infections."
"I will increase my food intake to 2 400 calories a day to keep my immune system well."
"I should continue to do deep-breathing and coughing exercises for at least 6 weeks."
"I must use home oxygen therapy for three months and then will have a chest x-ray to re-
evaluate." "I should continue to do deep-breathing and coughing exercises for at least 6
weeks."
The nurse is admitting a client to the medical unit with a diagnosis of pneumonia. Which of the
following prescriptions should the nurse verify has been completed before administering a dose
of trimethoprim-sulfamethoxazole to the client?
Orthostatic blood pressures
Sputum culture and sensitivity
Pulmonary function evaluation
Serum laboratory studies ordered for the morning Sputum culture and sensitivity
Which of the following nursing interventions is most appropriate to enhance oxygenation in a
client with unilateral malignant lung disease?
Positioning client on right side
Maintaining adequate fluid intake
Positioning client with "good lung down"
Performing postural drainage every 4 hours Positioning client with "good lung down"